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Uptake of robot-assisted colon cancer surgery in the Netherlands

BACKGROUND: The robot-assisted approach is now often used for rectal cancer surgery, but its use in colon cancer surgery is less well defined. This study aims to compare the outcomes of robotic-assisted colon cancer surgery to conventional laparoscopy in the Netherlands. METHODS: Data on all patient...

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Autores principales: Sterk, Marlou F. M., Crolla, Rogier M. P. H., Verseveld, Mareille, Dekker, Jan Willem T., van der Schelling, George P., Verhoef, Cornelis, Olthof, Pim B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615967/
https://www.ncbi.nlm.nih.gov/pubmed/37644155
http://dx.doi.org/10.1007/s00464-023-10383-5
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author Sterk, Marlou F. M.
Crolla, Rogier M. P. H.
Verseveld, Mareille
Dekker, Jan Willem T.
van der Schelling, George P.
Verhoef, Cornelis
Olthof, Pim B.
author_facet Sterk, Marlou F. M.
Crolla, Rogier M. P. H.
Verseveld, Mareille
Dekker, Jan Willem T.
van der Schelling, George P.
Verhoef, Cornelis
Olthof, Pim B.
author_sort Sterk, Marlou F. M.
collection PubMed
description BACKGROUND: The robot-assisted approach is now often used for rectal cancer surgery, but its use in colon cancer surgery is less well defined. This study aims to compare the outcomes of robotic-assisted colon cancer surgery to conventional laparoscopy in the Netherlands. METHODS: Data on all patients who underwent surgery for colon cancer from 2018 to 2020 were collected from the Dutch Colorectal Audit. All complications, readmissions, and deaths within 90 days after surgery were recorded along with conversion rate, margin and harvested nodes. Groups were stratified according to the robot-assisted and laparoscopic approach. RESULTS: In total, 18,886 patients were included in the analyses. The operative approach was open in 15.2%, laparoscopic in 78.9% and robot-assisted in 5.9%. The proportion of robot-assisted surgery increased from 4.7% in 2018 to 6.9% in 2020. There were no notable differences in outcomes between the robot-assisted and laparoscopic approach for Elective cT1-3M0 right, left, and sigmoid colectomy. Only conversion rate was consistently lower in the robotic group. (4.6% versus 8.8%, 4.6% versus 11.6%, and 1.6 versus 5.9%, respectively). CONCLUSIONS: This nationwide study on surgery for colon cancer shows there is a gradual but slow adoption of robotic surgery for colon cancer up to 6.9% in 2020. When comparing the outcomes of right, left, and sigmoid colectomy, clinical outcomes were similar between the robotic and laparoscopic approach. However, conversion rate is consistently lower in the robotic procedures.
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spelling pubmed-106159672023-11-01 Uptake of robot-assisted colon cancer surgery in the Netherlands Sterk, Marlou F. M. Crolla, Rogier M. P. H. Verseveld, Mareille Dekker, Jan Willem T. van der Schelling, George P. Verhoef, Cornelis Olthof, Pim B. Surg Endosc Article BACKGROUND: The robot-assisted approach is now often used for rectal cancer surgery, but its use in colon cancer surgery is less well defined. This study aims to compare the outcomes of robotic-assisted colon cancer surgery to conventional laparoscopy in the Netherlands. METHODS: Data on all patients who underwent surgery for colon cancer from 2018 to 2020 were collected from the Dutch Colorectal Audit. All complications, readmissions, and deaths within 90 days after surgery were recorded along with conversion rate, margin and harvested nodes. Groups were stratified according to the robot-assisted and laparoscopic approach. RESULTS: In total, 18,886 patients were included in the analyses. The operative approach was open in 15.2%, laparoscopic in 78.9% and robot-assisted in 5.9%. The proportion of robot-assisted surgery increased from 4.7% in 2018 to 6.9% in 2020. There were no notable differences in outcomes between the robot-assisted and laparoscopic approach for Elective cT1-3M0 right, left, and sigmoid colectomy. Only conversion rate was consistently lower in the robotic group. (4.6% versus 8.8%, 4.6% versus 11.6%, and 1.6 versus 5.9%, respectively). CONCLUSIONS: This nationwide study on surgery for colon cancer shows there is a gradual but slow adoption of robotic surgery for colon cancer up to 6.9% in 2020. When comparing the outcomes of right, left, and sigmoid colectomy, clinical outcomes were similar between the robotic and laparoscopic approach. However, conversion rate is consistently lower in the robotic procedures. Springer US 2023-08-29 2023 /pmc/articles/PMC10615967/ /pubmed/37644155 http://dx.doi.org/10.1007/s00464-023-10383-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Sterk, Marlou F. M.
Crolla, Rogier M. P. H.
Verseveld, Mareille
Dekker, Jan Willem T.
van der Schelling, George P.
Verhoef, Cornelis
Olthof, Pim B.
Uptake of robot-assisted colon cancer surgery in the Netherlands
title Uptake of robot-assisted colon cancer surgery in the Netherlands
title_full Uptake of robot-assisted colon cancer surgery in the Netherlands
title_fullStr Uptake of robot-assisted colon cancer surgery in the Netherlands
title_full_unstemmed Uptake of robot-assisted colon cancer surgery in the Netherlands
title_short Uptake of robot-assisted colon cancer surgery in the Netherlands
title_sort uptake of robot-assisted colon cancer surgery in the netherlands
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615967/
https://www.ncbi.nlm.nih.gov/pubmed/37644155
http://dx.doi.org/10.1007/s00464-023-10383-5
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